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MPC Contact Guide/Screening Call
Medical Expenditure Panel Survey - Household and Medical Provider Components
OMB: 0935-0118
IC ID: 204200
OMB.report
HHS/AHRQ
OMB 0935-0118
ICR 202401-0935-001
IC 204200
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0935-0118 can be found here:
2024-07-02 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form Attachment 72
MPC Contact Guide/Screening Call
Form and Instruction
Attachment 72 Attachment 72 – MPC Hospital Contact Guide
Attachment 72 – MPC Hospital Contact Guide.docx
Form and Instruction
Attachment 73 Attachment 73 – MPC Office-Based Doctor Contact Guide
Attachment 73 – MPC Office-Based Doctor Contact Guide.docx
Form and Instruction
Attachment 74 Attachment 74 – MPC Home Care Contact
Attachment 74 – MPC Home Care Contact Guide.docx
Form and Instruction
Attachment 75 Attachment 75 – MPC Institution Contact Guide
Attachment 75 – MPC Institution Contact Guide.docx
Form and Instruction
Attachment 76 Attachment 76 – MPC Pharmacy Contact Guide
Attachment 76 – MPC Pharmacy Contact Guide.docx
Form and Instruction
Attachment 77 Attachment 77 – MPC Separate Billing Doctor Contact Guide
Attachment 77 – MPC Separate Billing Doctor Contact Guide.docx
Form and Instruction
Information Collection (IC) Details
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